D-
44/100

Woodland Springs Nursing Center Inspection Report, Violations & Safety Grade (Waco, Texas)

1010 Dallas St, Waco, Texas 76704

Phone: 2547529774

CMS Overall:1/5

Overview & Bed Count

Certified Beds
132
Avg Residents/Day
93.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Mc Lennan
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.270.44-0.17
Total Nurse Hours per Resident per Day2.923.42-0.49
CMS Staffing Rating1/51.9/5-
Nursing Staff Turnover48.9%50.8%-

Health Citation History

29 health citations on record

DateCategoryDescriptionSeverity
2026-03-02Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2025-12-30Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-12-30Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2025-12-04Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-12-04Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.F – Moderate Harm Potential
2025-12-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2025-12-04Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-12-04Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-12-04Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-08-29Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2025-07-15Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.E – Moderate Harm Potential
2025-07-15Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-06-25Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-06-11Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2025-06-11Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.E – Moderate Harm Potential
2025-05-17Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-01-15Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-08-31Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H – Actual Harm
2024-08-31Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.H – Actual Harm
2024-08-31Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.H – Actual Harm
2024-08-31Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-08-31Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-08-31Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-01-16Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G – Actual Harm
2024-01-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.G – Actual Harm
2023-10-19Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2023-06-29Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2023-06-29Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-06-29Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-04Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2024-08-31Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-08-31Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-08-31Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2024-08-31Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-06-29Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential

Total Penalties & Fines

$92,215
Total Fine Amount (CMS)
5
Number of Fines
6
Total Penalties
DateTypeFine AmountPayment Denial
2026-03-02Fine$12,428-
2025-05-17Fine$29,858-
2025-05-17Payment Denial-14 days starting 2025-07-10
2025-01-15Fine$12,428-
2024-08-31Fine$28,677-
2024-01-16Fine$8,824-
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